Effect Analysis Of Obstructive Hydrocephalus Treated By ETV And VPS

Background: obstructive hydrocephalus is a common disease in the Department of Neurosurgery,the majority view is that the CSF pathway is blocked above the export of the fourth ventricle caused by congenital or acquired factors,leading to the CSF flow disorder to the cistern or the subarachnoid space.It is characterized by excessive accumulation of cerebrospinal fluid which lead to the enlargement of ventricular and intracranial hypertension and can accompany secondary parenchymal atrophy,resulting to a series of clinical symptoms that affect the patient's normal life,serious and even become life-threatening.The ventriculo-peritoneal shunt(VPS)is the traditional way to treat the obstructive hydrocephalus.It is simple and easy to operate,and the treatment effect is exact.However,the complication rate is high,the recurrence rate is high,and the prognosis is poor.It has been widely used and recognized as one of the most important methods for the treatment of obstructive hydrocephalus due to its minimally invasive and the characteristics of simulating the physiological circulation of cerebrospinal fluid.In the treatment of obstructive hydrocephalus,is ETV more advantageous than VPS,and it is worthy of discussion.Objective: To compare the efficacy of two surgical methods in the treatment of obstructive hydrocephalus in terms of symptom remission rate,complication rate,recurrence rate and long-term prognosis.Methods: study retrospectively of the obstructive hydrocephalus patients in the Department of Neurosurgery,Qingdao municipal hospital from 2006 to 2015 which performed ETV or VPS.28 cases of ETV group and 32 cases of VPS group were selected according to the inclusion criteria.The two groups were compared with the remission rate,complication rate,recurrence rate and KPS score.Results: Through the statistical analysis and comparison,two groups of patients after operation on remission rate and complication rate had no significant difference,but there was significant difference in recurrence rate between the two groups,the recurrence rate of the ETV group is lower compared with the VPS group(P < 0.05).The score of SF-36 was significantly improved in 8 aspects than before operation(P<0.05).Moreover,the ETV SF-36 score of 4 groups of physiological function,mental health,physical pain and general health were significantly better than those of VPS group(P < 0.05).Conclusion: In the treatment of obstructive hydrocephalus,There was no significant difference in the rate of symptom relief and complication rate of ETV compared with VPS,but the recurrence rate was lower.Postoperative patients had better quality of life.